Individual
RAMA K GONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036109540
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2003012641
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012077
ESSENCE
—
01
—
021291
FMH
—
01
—
195651
MO BC/BS
MO
01
—
195651
BLUE CHOICE
—
05
—
208998823
—
MO
01
—
2299725
UHC
—
01
—
231679
GHP
—
01
—
566489
HEALTHLINK
—
01
—
7471506
AETNA
—
01
—
8029043
CIGNA
—
01
—
C50434
MORRMCR
MO
01
—
H86336
MERCY
—
01
—
P00341379
ILRRMCR
IL
Enumeration date
08/25/2005
Last updated
12/08/2021
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